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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Precautions Should Be Taken For Borderline Kidney Functioning?

I was told by phone my lab work for kidney function was borderline but with no instructions from the dr of what I can do for it, can you give me any info. I am also uncontrolled diabetes type 2.blood pressure is controlled with meds . but I haven t been able to take insulin shots due to either bad side affects or lack of insurance. I am however taking 4 metformin and 2 glimepiride ( the limit of dose that can be given) daily.
Fri, 16 Feb 2018
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General & Family Physician 's  Response
Hi

Welcome to HealthcareMagic .
Please see that borderline kidney function with diabetes should be taken seriously. You should have disclosed your blood urea and serum creatinine level . As Metformin is safe at upto creatinine 1.8 and your BP should be maintained below 140/90 and blood sugar should be below 140 mg / 100 ml.
If your serum creatinine level is higher than 1.8 and GFR is low then you should go for insulin or Dynagliptin as it is safe in kidney impairment .

If you have any further query then you can come back to HealthcareMagic I will definitely help you and guide you appropriately .

With Regards
Dr Varinder Joshi .
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What Precautions Should Be Taken For Borderline Kidney Functioning?

Hi Welcome to HealthcareMagic . Please see that borderline kidney function with diabetes should be taken seriously. You should have disclosed your blood urea and serum creatinine level . As Metformin is safe at upto creatinine 1.8 and your BP should be maintained below 140/90 and blood sugar should be below 140 mg / 100 ml. If your serum creatinine level is higher than 1.8 and GFR is low then you should go for insulin or Dynagliptin as it is safe in kidney impairment . If you have any further query then you can come back to HealthcareMagic I will definitely help you and guide you appropriately . With Regards Dr Varinder Joshi .